Individual
MR. MICHAEL J.G. COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8244
(989) 366-6971
Mailing address
3232 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-8244
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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